Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Traverse Area Pediatric and Adolescent Clinic PLC

Organization Pediatrics Physician · NPI 1821380031

Traverse Area Pediatric and Adolescent Clinic PLC provides Pediatrics Physician services in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

4020 W Royal Dr
Traverse City, MI 49684-8965 Not confirmed with CMS for 13 years — call before visiting
Phone: (231) 421-8099
Fax: (231) 421-8599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2522728 (MI)

Record details

NPI number1821380031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Smith — Managing Partner · (231) 421-8099
NPI enumeratedMay 5, 2011
Last updated in NPPESApril 16, 2013
Mailing address4020 W Royal Dr, Traverse City, MI 49684-8965

Other providers in Traverse City